Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement.

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Published: Nov 13, 2018
DOI: https://doi.org/10.15417/issn.1852-7434.2018.83.4.831

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Sebastián Pereira
Hospital Sirio-Libanes, ECICARO
http://orcid.org/0000-0001-9475-3158
Gabriel Vindver
Hospital Sirio-Libanes, ECICARO
Fernando Bidolegui
Hospital Sirio-Libanes, ECICARO

Abstract

IntroductionFractures in both tibial plateaus occur following high-energy traumatisms. Sometimes, fracture can compromise the tibial tubercle. Neither the Schatzker nor the AO/OTA classifications take this fragment into account. The aim of this study was to describe incidence and surgical management in these types of fractures.Materials and MethodsWe carried out a retrospective study between 2009 and 2017 which included 48 fractures in both tibial plateaus treated with reduction and osteosynthesis; 10 of them showed a fragment of the tibial tubercle associated. Seven patients were males, whereas 3 of them were females. Patients averaged 33.5 years old. Nine of them received initial stabilization by external fixator. The fragment of the tibial tubercle was fixed using 2 3.5-mm screws (9 cases) and 1/3 tubular plate (one case). One patient had suffered an open fracture. Minimal follow-up was 12 months.ResultsWe got bone healing in all the cases. There were no infections. Knee ROM was 10º-extension (0º-20º) and 120ºflexion (90º-140º). In one case it was necessary to remove the osteosynthesis material. One patient required arthroscopy to treat a meniscal injury.ConclusionsIn our series, 20.8% of all fractures in both tibial plateaus showed one fragment from the tibial tubercle. The fixation of this fragment with 3.5-mm screws or a 1/3 tubular plate is an effective technique to get adequate stabilization for the fragment.

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How to Cite
Pereira, S., Vindver, G., & Bidolegui, F. (2018). Treatment of complex tibial plateau fracture associated with anterior tibial tubercle involvement. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 83(4), 268-273. https://doi.org/10.15417/issn.1852-7434.2018.83.4.831
Issue
Vol 83 No 4 (2018)
Section
Clinical Research
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Author Biographies

Sebastián Pereira, Hospital Sirio-Libanes, ECICARO

Servicio de Ortopedia y Traumatología, Hospital Sirio-Libanes, ECICARO, Ciudad Autónoma de Buenos Aires.

Gabriel Vindver, Hospital Sirio-Libanes, ECICARO

Servicio de Ortopedia y Traumatología, Hospital Sirio-Libanes, ECICARO, Ciudad Autónoma de Buenos Aires.

Fernando Bidolegui, Hospital Sirio-Libanes, ECICARO

Servicio de Ortopedia y Traumatología, Hospital Sirio-Libanes, ECICARO, Ciudad Autónoma de Buenos Aires.

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